Omar Klobocista M.D.

NPI 1093040115 - Family Medicine - 207Q00000X

NPI Details
NPI 1093040115
Gender Male
Enumeration Date 10/07/2009
Last Updated 02/18/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
220 VICTORY BLVD
STATEN ISLAND NY, 10301-2919, US
Phone (856) 524-2531
Fax
Business Location
220 VICTORY BLVD
STATEN ISLAND NY, 10301-2919, US
Phone (856) 524-2531
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MA08645900
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According to our database, Dr. Omar Klobocista M.D. NPI is 1093040115, taxonomy code is 207Q00000X and license number is 25MA08645900, license state is located at New Jersey. Omar Klobocista M.D. physically located at 220 Victory Blvd, Staten Island NY, 10301-2919. NPI Number Omar Klobocista M.D. has the Individual type.

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1093040115 NPI number is provided on an as is basis without warranty of any kind. 1093040115 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Klobocista M.D. are for informational purposes only.